MISCHA R WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336622

License Status

ACTIVE

Business

First Name

MISCHA

Middle

Last Name

WALLER

Business Name

MISCHA R WALLER

Original Issue Date

08/08/2003

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/28/2026